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BLD2021-0020+Application+1.6.2021_12.41.23_PM+1976797CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #904281 - 76 AVE TOWNHOMES Applicant First Name Last Name Company Name Carl Pirscher CDA + Pirscher Architects, Inc Number Street Apartment or Suite Number E-mail Address 23114 100 AVE W carlp(,@_cdaarch.com City State Zip Phone Number Extension Edmonds WA 98020 2063689668 107 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 7528 215TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00501200001600 Associated Building Permit Number Tenant Name BLD20171030 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name KEITH FORDE Number Street Apartment or Suite Number 1209 N 47th ST City State Zip Seattle Washinqton 98103 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 1/6/2021 Submitted By: Carl Pirscher Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #904281 - 76 AVE TOWNHOMES Project Contact Company Name: CDA + Pirscher Architects,lnc Name: Carl Pirscher Email: carlp@cdaarch.com Address: 23114 100 AVE W Phone #: 2063689668 107 Edmonds WA 98020 Project Type Single Family Residential Activity Type New Construction Scope of Work Residence Project Name: 76 AVE TOWNHOMES Description of Work: Demo existing house and construct a 4 unit townhouses with related site work Project Details Structure Type Duplex Project Information Square Feet - Deck 176 Square Feet - Floor 1 1,359 Square Feet - Floor 2 3,642 Square Feet - Floor 3 3,545 Square Feet - Garage 2,064 Total Dwelling Units 4 Page 2 of 2